|
KMID : 0896720010050010035
|
|
Journal of the Korean Society of Foot Surgery
2001 Volume.5 No. 1 p.35 ~ p.42
|
|
|
Ct Classification and Treatment of Intraarticular Calcaneal Fractures - Conservative vs. Surgical Treatment by Prospective Study -
|
|
Kang Jae-Do
Kim Hyung-Chun
Kim Jin-Hyoung
|
|
|
Abstract
|
|
|
Purpose:To analyze the results of conservative of surgical treatment after computed tomography(CT) classification in intraarticular calcaneal fractures.
Materials and methods: From January 1996 to May 1999, we prospectively analyze 23 cases of intraarticular calcaneal fractures who were treated conservatively or operated by open reduction and internal fixation by extensive L-shaped lateral approach after CT classification.
Results: A functional scoring system of 0-100 points which was based upon the responses to AOFAS Ankle-Hindfoot Scale for the operative group was at 82.8, compared with 73.2 for the non-operative group, and these were meaningful statistically(P<0.05). Of type Ⅰ fracture, in the operative group there were 2 excellent results and in the non-operative group there were 2 excellent results, 1 good result. Of type Ⅱ fractures, in the operative group there were 2 excellent results, 3 good results, 1 fair result and in the non-operative group there were 1 good result, 1 fair result, 2 poor results. Of type Ⅲ fractures, in the operative group there were 2 fair results, 2 poor results and in the non-operative group there were 1 fair result, 3 poor results. Bohler angles of subtalar joint were changed from initial average 13.3° to postoperative average 20.9° for the operative group compared with from initial average 15.5° to follow-up average 14.8° of the non-operative group(P<0.01).
Conclusion: Computed tomography in the evaluation of intraarticular calcaneal fractures is effective tool. We believed that open reduction and internal fixation in all Crosby & Fitzgibbons type Ⅱ and according to degrees of comminution reducible type Ⅲ for the intaarticular calcaneal fractures is more effective method than conservative treatment.
|
|
|
KEYWORD
|
|
|
Calcaneus, Intraarticular fracture, Computed tomography, Conservative treatment, Surgical treatment
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|